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2.21 Phenobarbital and Other Barbiturates


               Shown below are the structures of buta
                                                                 O
                                                     O
                                      O
                          O
                                                                                              O
                             N
                                                                                    H
                                                              NH
                                                       H
                                                        N
                                   NH
                                                                                            NH
                            H
                                                                                      N
                                O
                                                                                         O
                                                           O
                            Butabarbital
                                                       Secobarbital

                  1.  Conduct a structural previously listed.
                      Answer:
                      These three drug to their site of action.

                                                             Only site of
                                                              variation            O Phenobarbital
                                                                 5
                                               Imide                           Imide
                                                              1     3
            200    Medicinal Chemistry Self Assessment
                                                          Barbituric Acid

            2.  Butabarbital and secobarbital are marketed as their sodium salts and phenobarbital is marketed in its
                free acid form (i.e., non-salt form). Draw the sodium salt of either butabarbital or secobarbital and

                provide an explanation as to why these two drug molecules need to be administered as their sodium
                salts.   2.  Butabarbital and secobarbital these two administered as their sodium salts.
                Answer Answer:
                      Sodium Butabarbital        Sodium Secobarbital                Phenobarbital
                                                                                 (Used as Free Acid)

                In general the primary reason that drug molecules are administered in their inorganic salt form is to
                  3.  Using the information in acting agent (onset of action = 30–60 minutes; duration = 10–16 hours).
                enhance solvation, dissolution, and water solubility. Butabarbital and secobarbital need to be admin-
                istered as their sodium salts, whereas phenobarbital does not. This suggests that butabarbital and

                secobarbital have greater lipid solubilities than phenobarbital and therefore need to be administered

                in a more water soluble form. The authors do not expect the readers to know the structure-activity

                relationship (SAR) of barbiturates, so the following information is offered to show how the logical
                application of key concepts often explains known facts. Structural activity studies of barbiturates

                have demonstrated that alkyl chains at the 5 position of barbituric acid produce more lipid solubility
                than the aromatic ring in the structure of phenobarbital. Phenobarbital has a log P value=1.46, while
                butabarbital and secobarbital have log P values=1.60 and 2.36, respectively.
            3.  Using the information in questions 1 and 2, and your answers to those questions, provide an explanation
                as to why secobarbital is a short-acting agent (onset of action = 10–15 minutes; duration = 3–4 hours),
                butabarbital is an intermediate-acting agent (onset of action = 45–60 minutes; duration = 6–8 hours), and
                phenobarbital is a long-acting agent (onset of action = 30–60 minutes; duration = 10–16 hours).
                Answer
                As discussed in the previous two questions, these three drug molecules are structurally similar and
                vary only in the hydrocarbon chains at position 5 of the barbituric acid ring. These minor structural
                variations result in differences in their respective lipid solubilities. Drug molecules that have higher
                lipid solubility (log P) traverse more quickly through lipid membranes, but are more likely to undergo
                metabolic transformation than drug molecules that have lower lipid solubility. Secobarbital is the
                most lipid soluble of the three drug molecules. As such, it is rapidly absorbed, can rapidly cross the
                blood–brain barrier, and has the quickest onset of action. Due to its higher lipid solubility, it is metab-
                olized quicker than either butabarbital or phenobarbital. This rapid metabolism is responsible for the
                relatively short duration of action. Butabarbital and phenobarbital are less lipid soluble than secobar-
                bital and have similar onsets of action; however, phenobarbital has a lower lipid solubility, is metabo-
                lized at a slower rate, and thus has a longer duration of action than butabarbital.
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